Polynucleotide primers

ABSTRACT

A polynucleotide comprising at least the final six nucleotides of one of the following primer sequences, or a sequence complementary thereto: SEQ. ID NOS. 3 to 16, 18, 20 to 33, 35 or 37 to 39. A method of detecting the presence or absence of a mutation in the PIK3CA gene, wherein the mutation is one of H1047R, H1047L, E542K and E545K, and preferably ARMS primers are combined with Scorpion primers.

TECHNICAL FIELD

The present invention relates to a polynucleotide, a kit comprising apolynucleotide and a method for detecting the presence or absence ofmutations in a gene.

BACKGROUND ART

Phosphatidylinositol 3-Kinases (PI3K) are a large family of lipidkinases involved in cell signalling. The PI3K-AKT pathway is activatedin a number of tumour types, resulting in abnormalities of cell growth,proliferation and survival (add ref of 1 recent review). Recently,mutations in the catalytic subunit of the class 1A PI3K (PIK3CA) havebeen identified in human cancers^([1]). The precise role of thesemutations in carcinogenesis is still to be clearly defined but withongoing development of a number of targeted PI3K inhibitors, detectionof mutations will become increasingly important for patient selection.Technical challenges in the detection of such mutations result from thelimitations of tumour biopsies that may only contain small quantities ofthe mutated sequences. Furthermore, DNA extracted from paraffin embeddedtissue is often degraded and of poor quality. The minimum level ofmutant DNA required for detection by sequencing is 15-25% and so thereis a pressing need for development of sensitive assays able to detectsmall amounts of mutated alleles in a heterogenous sample and theproducts necessary for carrying out the assays.

The present invention seeks to address this need.

DISCLOSURE OF THE INVENTION

The present invention provides sensitive and robust tests fortumour-borne PIK3CA mutations.

According to one aspect of the present invention, there is provided apolynucleotide comprising at least the final six nucleotides of one ofthe following primer sequences, or a sequence complementary thereto:SEQ. ID NOS. 3 to 16, 18, 20 to 33, 35 or 37 to 39. That is, thepolynucleotide comprises at least the six nucleotides at the 3′ end ofone of the following primer sequences, or a sequence complementarythereto: SEQ. ID NOS. 3 to 16, 18, 20 to 33, 35 or 37 to 39.

Preferably, the polynucleotide comprises at least 75% of the 8, 10, 12,14, 16, 17, 18 or 20 nucleotides at the 3′ end, or the entirety, of oneof the following primer sequences, a sequence complementary thereto, ora sequence having 80%, 90%, 95% or 99% sequence identity thereto: SEQ.ID NOS. 3 to 16, 18, 20 to 33, 35 or 37 to 39.

In some embodiments of the present invention there is provided apolynucleotide comprising at least 75% of the ten nucleotides at the 3′end of one of the following primer sequences, or a sequencecomplementary thereto: SEQ. ID NOS. 3 to 16, 18, 20 to 33, 35 or 37 to39.

Conveniently, the polynucleotide is less than 100 nucleotides long,preferably less than 80 nucleotides long, more preferably less than 60nucleotides long, more preferably less than 40 nucleotides, morepreferably less than 30 nucleotides long.

Advantageously, the polynucleotide further comprises a quencher groupand a fluorophore group.

Conveniently, the quencher group and the fluorophore group are separatedby a nucleotide tail sequence comprising first and second regions, thenucleotides of the first region being complementary to but in reverseorder from the nucleotides of the second region, such that hybridisationof the first region to the second group results in the quencher group tobe sufficiently close to the fluorophore group to quench the fluorophoregroup.

Preferably the tail sequence further comprises a third region having asequence complementary to a region of the PIK3CA gene.

Advantageously, the polynucleotide comprises at least the sixnucleotides at the 3′ end of SEQ. ID NO. 18 and the tail sequencecomprises SEQ. ID NO. 17.

Alternatively, the polynucleotide comprises at least the finalnucleotides at the 3′ end of SEQ. ID NO. 35 and the tail sequencecomprises SEQ. ID NO. 34.

Alternatively, the polynucleotide comprises at least the finalnucleotides at the 3′ end of SEQ. ID NO. 39 and the tail sequencecomprises SEQ. ID NO. 38.

Conveniently, the quencher group comprises Dabcyl.

Preferably the fluorophore comprises Hex, Fam or Rox.

According to another aspect of the present invention, there is provideda kit comprising at least two of the polynucleotides of the invention.

Advantageously, the kit comprises a polynucleotide comprising SEQ ID NO.18 and a polynucleotide comprising any one of SEQ ID NOS. 3 to 16; or apolynucleotide comprising SEQ ID NO. 35 and a polynucleotide comprisingany one of SEQ ID NOS. 20 to 33; or a polynucleotide comprising SEQ IDNO. 39 and a polynucleotide comprising SEQ ID NO. 37.

Conveniently, the kit further comprises nucleotide triphosphates, apolymerisation enzyme and/or a buffer solution.

According to a further aspect of the present invention, there isprovided the use of a polynucleotide or a kit of the invention; or apolynucleotide comprising four or five of the six nucleotides at the 3′end of SEQ. ID NOS. 3 to 16, 18, 20 to 33 or 35 or sequencescomplementary thereto for detecting a mutation in a nucleic acid samplecontaining at least a fragment of the PIK3CA gene.

Advantageously, the fragment of the PIK3CA gene in the nucleic acidsample is at least 10 nucleotides long, preferably 20 nucleotides long,more preferably 30 nucleotides long and more preferably 40 nucleotideslong.

According to another aspect of the present invention, there is provideda method of detecting the presence or absence of a mutation in thePIK3CA gene comprising the steps of:

-   -   a) mixing a nucleic acid sample comprising at least a fragment        of the PIK3CA gene with a polynucleotide comprising at least the        six nucleotides at the 3′ end of one of the following primer        sequences, or a sequence complementary thereto: SEQ ID NOS. 3 to        16 or 20 to 33; and    -   b) detecting hybridisation of the polynucleotide to the nucleic        acid sample wherein hybridisation indicates the presence of a        mutation.

Conveniently, the polynucleotide comprises one of the following primersequences: SEQ ID NOS. 3 to 16 or 20 to 33.

Preferably, the method further comprises the step of, prior to step a),amplifying the number of copies of the fragment of the PIK3CA gene usingthermal cycling nucleic acid amplification, preferably PCR.

Advantageously, step b) comprises carrying out DNA polymerisation usingthe polynucleotide as a first primer and detecting the extension productof polymerisation.

Conveniently, step b) comprises the step of mixing the nucleic acidsample and the polynucleotide with a second primer which corresponds toa region of the fragment of the PIK3CA sequence downstream of the regionto which the polynucleotide is complementary and carrying out PCR on themixture.

Preferably, the second primer comprises: SEQ. ID NO. 18 and thepolynucleotide comprises at least four or five of the six nucleotides atthe 3′ end of SEQ. ID NOS. 3 to 16; or the second primer comprises SEQ.ID NO. 35 and the polynucleotide comprises at least four or five of thesix nucleotides at the 3′ end of SEQ. ID NOS. 20 to 33.

Alternatively, the method further comprises the step of carrying out PCRon the sample using control primers and comparing the amplification ofthe PIK3CA gene with amplification using the polynucleotide and thesecond primer.

Advantageously, the control primers comprise SEQ ID NOS. 37 and 39.

Conveniently, the polynucleotide comprise a quencher group and afluorophore group and wherein step b) comprises exposing the mixture tolight of a wavelength to which the fluorophore is responsive in theabsence of the quencher group and detecting light at the wavelengthemitted by the fluorophore group in the absence of the quencher group.

It is preferred that the PIK3CA gene is the sequence available asGenBank accession no. NM_(—)006218 version no. NM_(—)006218.2GI:54792081, which is incorporated herein by reference.

Where reference is made in the specification to “at least four or fiveof the six nucleotides at the 3′ end” of a reference sequence, thismeans that, of the six nucleotides in the reference sequence, either oneor two of the nucleotides may be missing or replaced with a differentnucleotide. Of course, in some embodiments, the sequence comprises allsix of the nucleotides of the reference sequence.

In this specification, “ARMS” is the amplification refractory mutationsystem disclosed in, for example, EP-A-0332435.

Where reference in this specification is made to a percentage of apolynucleotide compared with a reference polynucleotide, this can bedetermined by algorithms known in the art.

For example the percentage identity between two sequences can bedetermined using the BLASTP algorithm version 2.2.2 (Altschul, StephenF., Thomas L. Madden, Alejandro A. Schäffer, Jinghui Zhang, Zheng Zhang,Webb Miller, and David J. Lipman (1997), “Gapped BLAST and PSI-BLAST: anew generation of protein database search programs”, Nucleic Acids Res.25:3389-3402) using default parameters.

BRIEF DESCRIPTION OF DRAWINGS

FIG. 1 shows the results of carrying out Scorpions detection andsequencing on samples containing mutant PIK3CA gene.

DETAILED DESCRIPTION

Embodiments of the present invention provide polynucleotide primers thatcan be used in assays for the detection of mutations of the PIK3CA genein a sample containing nucleic acids.

In specific embodiments, the polynucleotide primers are forward andreverse primers that hybridise with the PIK3CA gene to enable a PCRamplification reaction to take place. Thus the forward primer hybridisesupstream of and to the opposite strand from the reverse primer and theforward and reverse primers together define an amplicon sequence whichis amplified during PCR. The sequence of the forward primer is selectedsuch that it is not complementary to the wild type sequence but iscapable of hybridising with a mutant PIK3CA sequence.

In order to detect the presence the mutant PIK3CA gene in the sample,the primers are mixed with the sample. The necessary agents for PCR(appropriate nucleotide triphosphates, DNA polymerase enzyme and abuffer solution) are then added to the sample and PCR is carried out. Ifthe sample contains the mutant sequence to which the forward primer isable to hybridise then the amplicon is amplified during PCR and thepresence of the mutant sequence in the sample is thus indicated. If thesample does not contain the mutant sequence then the forward primerbinds to the PIK3CA sequence with low efficiency and so there is littleor no amplification of the amplicon sequence.

In order to detect the mutation E542K, the forward primer sequence maybe one of SEQ ID NOS. 3 to 9, preferably SEQ ID NO. 5. In order todetect the mutation E545K, the forward primer sequence may be one of SEQID NOS. 10 to 16, preferably SEQ ID NO. 14. In order to detect themutation H1047R, the forward primer sequence may be one of SEQ ID NOS.20 to 26, preferably 21. In order to detect the mutation H1047L, theforward primer sequence may be one of SEQ ID NOS. 27 to 33, preferably28. However, it is to be appreciated that the precise sequence of theforward primer need not be identical to these sequences, provided thatthe forward primer hybridises to the mutant sequence more readily thanto the wild type sequence. In the sequences set out above, it is thefinal six nucleotides (i.e. the nucleotides at the 3′ end) of theprimers that provide the binding specificity so these nucleotides mustbe identical to the given sequence.

In order to detect the presence of the amplicons formed in the sample,the reverse primer is a so called “Scorpions” primer in embodiments ofthe present invention. Details of Scorpions primers are provided inWO-A-99/066071 which is incorporated herein by reference. A Scorpionsprimer comprises a primer sequence complementary to a first targetsequence of a gene (in this invention PIK3CA) and a tail sequencecomprises a probe sequence flanked by two mutually complementarysequences. A DNA polymerase blocking moiety (such as a hexethyleneglycol (HEG) monomer) is provided between the primer sequence and thetail sequence. A fluorophore group is provided at one end of the tailsequence and a quencher group is provided at the other end of the tailsequence. In use, the primer sequence of the Scorpions primer acts as areverse primer during PCR in the normal way and thus the entireScorpions primer, including the tail sequence, becomes incorporated intoeach amplicon. The DNA polymerase blocking moiety prevents duplicationof the tail sequence. Thus the mutually complementary sequences in thetail sequence have the tendency to hybridise with each other, bringingthe fluorophore group and the quencher group into proximity andpreventing emission from the fluorophore group. However, if the ampliconcontains a second target sequence complementary to the probe sequence,the probe sequence preferentially binds to the second target sequence,separating the mutually complementary sequences. This results in thefluorophore group and the quencher group being spatially distanced suchthat the fluorophore group emits light of one wavelength in response toincident light of another wavelength. Accordingly, the Scorpions primerenables easy detection of amplicons and moreover, avoids false positiveresults (caused by primer dimers, for example) because a signal is onlygenerated when the amplicon contains the second target sequence.

The fluorophore group may be Hex(4,7,2′,4′,5′,7′-hexachloro-(3′,6′-dipivaloylfluoresceinyl)-6-carboxamidohexyl]-1-O-(2-cyanoethyl)-(N,N-diisopropyl)-phosphoramidite),Fam([(3′,6′-dipivaloylfluoresceinyl)-6-carboxamidohexyl]-1-O-(2-cyanoethyl)-(N,N-diisopropyl)-phosphoramidite)or Rox (5,6,-Carboxy-X-Rhodamine). The quencher group may be Dabcyl(5′-Dimethoxytrityloxy-5-[(N-4′-carboxy-4-(dimethylamino)-azobenzene)-aminohexyl-3-acrylimido]-2′-deoxyUridine-3′-[(2-cyanoethyl)-(N,N-diisopropyl)]-phosphoramidite).

In embodiments of the present invention, a Scorpions primer is providedfor detection of the E542K and E545K mutations wherein the primersequence is SEQ ID NO. 18 and the probe sequence is SEQ ID NO. 17. AScorpions primer is provided for detection of the H1047R and the H1047Lmutations wherein the primer sequence is SEQ ID NO. 35 and the probesequence is SEQ ID NO. 34.

It is to be appreciated, however, that the use of Scorpions primers isnot essential to the invention and other methods of detecting thesynthesis of amplicons may be employed such as TaqMan™ productdetection, as described in U.S. Pat. No. 5,487,972 and U.S. Pat. No.5,210,015

In some embodiments, a control assay is also carried out to detect theoverall concentration of the PIK3CA gene in the sample. This is achievedby carrying out a separate PCR reaction with control forward and reverseprimers which define an amplicon in another region of the PIK3CA gene.It is preferred that the forward primer is SEQ ID NO. 37 and the reverseprimer is a Scorpions primer wherein the primer sequence is SEQ ID NO.39 and the probe sequence is SEQ ID NO. 38. The number of PCR cyclesrequired to generate a threshold number of control amplicons is thencompared with the number of PCR cycles required to generate thethreshold number of amplicons containing the mutant sequence in order toassess the proportion of mutant copies of the PIK3CA gene in the sample.Such control assays are generally carried out separately from the testassays.

The PCR assays are preferably carried out as multiplexed real time PCRassays.

The test sample of nucleic acid is conveniently a sample of blood,faeces, sputum, colonic lavage, bronchial lavage or other body fluid, ortissue obtained from an individual. The individual is convenientlyhuman, preferably Homo sapiens. It will be appreciated that the testsample may equally be a nucleic acid sequence corresponding to thesequence in the test sample. That is to say that all or a part of theregion in the sample nucleic acid may firstly be amplified using anyconvenient technique such as thermal cycling nucleic acid amplification,in particular PCR, or whole genome amplification (WGA) before use in themethod of the invention.

Any convenient enzyme for polymerisation may be used provided that itdoes not affect the ability of the DNA polymerase to discriminatebetween normal and mutant template sequences to any significant extent.Examples of convenient enzymes include thermostable enzymes which haveno significant 3′-5′ exonuclease activity, for example Taq DNApolymerase, particularly “Ampli Taq Gold”™ DNA polymerase (PE AppliedBiosystems), Stoffel fragment, or other appropriately N-terminal deletedmodifications of Taq or Tth (Thermus thermophilus) DNA polymerases.

In further embodiments of the present invention, there are provided kitscomprising one or more polynucleotides of the invention and thenucleotide triphosphates, DNA polymerase enzyme and buffer solutionrequired to carry out a PCR reaction. Preferred kits comprise forwardand reverse primers for detection of a specific mutation and forward andreverse control primers.

EXAMPLES Materials and Methods

Primers were designed against the 4 most common mutations in the PIK3CAgene (Accession Number: NM_(—)006218). ARMS primers were designed todetect 2 mutations in exon 20: H1047R and H1047L; and 2 mutations inexon 9: E452K and E454K. A control primer was designed to cDNA position2450 in the PIK3CA gene.

Scorpions were also designed. To allow multiplexing of a number ofassays in each reaction the three scorpion primers were labelled withdifferent fluorophores.

Primer Designs

A number of ARMS primers were designed specific for each target region.The target region for the E542K and E545K mutations are shown below asSEQ ID NOS. 1 and 2 respectively (the mutant bases are shown in bracketswith the normal variant first). The forward primers to the mutations arealso shown below (SEQ ID NOS. 3 to 16). To enhance the specificity ofthese reactions, additional primer mismatches close to the 3′-terminuswere used (shown underlined in the primer sequences). The optimalprimers (E542K-2 and E545K-4) were used for the experiments described.The Scorpions primer usable with the primer sequences is shown as SEQ IDNOS. 17 and 18. Regions of correspondence between the Scorpions primerand the target regions are shown in identical highlighting orunderlining.

Exon 9 Region

Exon 20 Region

The target region for the H1047R and H1047L mutations are shown below asSEQ ID NO. 19 (the mutant bases are shown in brackets with the normalvariant first). The forward primers to the mutations are also shownbelow (SEQ ID NOS. 20 to 33). To enhance the specificity of thesereactions, additional primer mismatches close to the 3′-terminus wereused (shown underlined in the primer sequences). The optimal primers(H1047R-1 and H1047L-1) were used for the experiments described. TheScorpions primer usable with the primer sequences is shown as SEQ IDNOS. 34 and 35. Regions of correspondence between the Scorpions primerand the target regions are shown in identical highlighting orunderlining.

Control Primers

The control primers are shown below. Regions of correspondence betweenthe Scorpions primer and the target regions are shown in identicalhighlighting or underlining.

All primers were synthesised and supplied by Invitrogen. PCR Buffer, Taqand Magnesium were supplied by Eurogentec and dNTPS were purchased fromAbgene Ltd. Scorpions were synthesised and supplied by ATDBio.

Assays were multiplexed into 2 reactions containing a control assay and2 ARMS assays (1×exon 9 and 1×exon 20). Assays were performed in 25 ulreaction volume containing 1×PCR Buffer, 4.0 mM MgCl₂, 200 uM dNTP mix,0.25 uM of each primer (control primer and 2 ARMS primers) and 0.25 uMof each scorpion (control scorpion (SEQ ID NOS. 38 and 39), exon 20scorpion (SEQ ID NOS. 34 and 35) and exon 9 scorpion (SEQ ID NOS. 17 and18)). 2.5 ul of DNA template was added to each reaction. The H1047R andE542K primers were multiplexed with 2.5 unit Taq polymerase perreaction. The H1047L and E545K primers were multiplexed with 3.0 unitTaq polymerase per reaction. The E542K primer used was E542K-2 (SEQ IDNO. 5). The E545K primer used was E545K-4 (SEQ ID NO. 14). The H1047Rprimer used was H1047R-1 (SEQ ID NO. 21). The H1047L primer used wasH1047L-1 (SEQ ID NO. 28).

In all cases the reactions were amplified on a Stratagene Mx3000P underthe following conditions: 95° C. for 10 minutes, followed by 45 cyclesof 90° C. for 30 seconds and 60° C. for 1 minute.

DNA cassettes harbouring point mutations to use as positive controlswere constructed based on a method described by Higuchi et al.^([2]). Inbrief, corresponding outer and mutamer primers were used to generatehalf cassettes with complementary ends, each half cassette containing amutant base. These PCR products were mixed and amplified with innernested primers. Self priming of the complementary half cassettes andsubsequent amplification created a final product with a mutated base.Products were sequenced to ensure the correct sequence had been created.This process was repeated for each mutation of interest. The DNAcassette was mixed with an equal amount of genomic DNA to create a 100%positive control.

Example 1

To determine the specificity of the reactions and the primers each assaywas performed with 5-50 ng of genomic DNA per reaction to assessbreakthrough signal caused by extension of mismatched primer. For eachreaction a ΔCt value (control Ct− mutation Ct) was defined (Ct=thresholdcycle). The reactions were performed six times for each DNAconcentration and repeated in triplicate on separate occasions to definea cut off ΔCt value below which any amplification can be said to be dueto the presence of mutant sequence and not due to breakthrough signal.The cut off ΔCt value was determined to be 1 Ct below the lowest ΔCtvalue seen in all reactions for each assay. For H1047R and H1047L assaysthe cut off ΔCt was defined as 12, for the E542K assay the cut off ΔCtwas 9 and for the E545K assay the cut off ΔCt was 8.

Example 2

To assess the sensitivity of the assay, 5 copies of mutant DNA werediluted in varying concentrations of genomic DNA to give finalconcentrations of 5, 2, 1, 0.5 and 0.1% mutant DNA to wild type. Table 1illustrates the sensitivity of the 4 ARMS assays. The table shows theΔCt values for reducing concentrations of mutant DNA within a backgroundof wild type DNA. The predefined cut off ΔCts are illustrated in thefinal column. The exon 20 assays were able to detect 5 copies of mutantDNA when this comprised only 0.1% of the total DNA (within thepreviously defined cut off ΔCt). The exon 9 assays were able to detect 5copies of DNA at 1% concentration with a ΔCt within the predefined cutoff values (Table 1).

TABLE 1 MUT WT DNA/ DNA/ Relative reaction reaction % of ΔCT CUT OFF(copies) (copies) MUT alleles H1047L H1047R E542K E545K ΔCt 100 5 5% 5.94.3 5.1 5.8 250 5 2% 7.2 6.7 7.2 6.4 H1047L 12 500 5 1% 8.3 7.6 8.4 7.0H1047R 12 1000 5 0.5%   9.3 9.0 10.2 8.1 E542K 9 5000 5 0.1%   11.5 10.512.1 10.1 E545K 8

Example 3

Admixtures of cell lines containing mutation H1047R (HCT-116) and E545K(MCF-7) were used to compare the relative sensitivities of the ARMSassays compared with sequencing. Both cell lines were heterozygous forthe mutation. Sequencing was performed using primers and PCR cyclingconditions as described by Samuels et al^([1]). ARMS assays andsequencing were carried out at concentrations of the mutant gene of100%, 50%, 30%, 10% and 1% of the total mixture. The results are shownin FIG. 1 in which the results under the heading “Scorpions” show theincrease in amplicon copy number after successive rounds of PCR (resultsusing control primers and mutant primers are shown as separate lines).Under the heading “DNA Sequencing” is shown the results of sequencingthe reverse strand of the gene in the mixture. Sequencing was not ableto detect the presence of H1047R mutant when present at less than 50% ofthe total mixture and was unable to detect the presence of E545K mutantwhen present at less then 30% of the total mixture. Assays using theprimers of the invention, by contrast, were able to detect the presenceof mutants at 1% concentration.

Example 4

This assay was applied to DNA extracted from fresh frozen tissue from avariety of tumour types that were assessed for the presence of PIK3CAmutations using the ARMS/Scorpion assay. In total DNA was available from279 tumour samples. The assay reported mutations in 5 of 49 (10.2%)colorectal cancer samples, 19 of 49 (38.7%) breast cancer samples, 1 of51 (1.9%) lung cancer samples, and 1 of 34 (2.9%) melanoma samples. Nomutations were detected in 50 prostate or 46 ovarian cancer samples. Ofthe colorectal samples positive for PIK3CA mutations 3 were H1047R, 1was H1047L and 1 was E542K; of the breast cancer samples positive forPIK3CA, 15 were H1047R, 1 was H1047L and 3 were E545K; both themutations in the lung cancer sample and melanoma sample positive forPIK3CA mutations were H1047R. Sequencing identified only 14 of the total26 (53%) mutations detected. Sequencing detected a mutation in onebreast cancer specimen which the ARMS assay was not designed to detect(c. 1634 A>G; p E545G). This is not a novel mutation and has beenpreviously described in breast and colorectal cancers^([3-5]).

The incidence of PIK3CA mutations in the samples analysed was consistentwith previous studies with the exception of ovarian cancer^([1, 3-9]).PIK3CA mutations have been previously described in ovarian cancers butit has been suggested that there may be an associated with endometriodand clear cell cancers^([8,10]). All the ovarian cancers tested in thisstudy were serous adenocarcinomas which may explain the absence of anyPIK3CA mutations.

The ARMS assay identified significantly more mutations in the clinicalsamples than seen by direct sequencing. The cell line admixtures confirmthat this assay is more sensitive than sequencing in detecting thePI3KCA mutations of interest. It is likely that the heterogeneity ofclinical samples that will contain both tumour and normal tissue willmean that in some instances the incidence of mutation will be below thatdetectable by sequencing methods and as such the ARMS assay is moresuitable for clinical application. The drawback is that only certainARMS specific mutations will be detected. However in this series of 279samples only a single mutation in exon 9 or 20 of the PI3KCA gene wasdetected that the ARMS assay was not designed to detect.

In summary, the examples show that the present invention provides asensitive, high throughput assay for the detection of the 4 most commonmutations in the PIK3CA gene. This assay may be applied to small amountsof DNA and can detect low levels of mutant PIK3CA within a sample.

Sequence Listing Free text <210> 1 <223> E542K target region <210> 2<223> E545K target region <210> 3 <223> E542K-0 fwd primer <210> 4 <223>E542K-1 fwd primer <210> 5 <223> E542K-2 fwd primer <210> 6 <223>E542K-3 fwd primer <210> 7 <223> E542K-4 fwd primer <210> 8 <223>E542K-5 fwd primer <210> 9 <223> E542K-6 fwd primer <210> 10 <223>E545K-0 fwd primer <210> 11 <223> E545K-1 fwd primer <210> 12 <223>E545K-2 fwd primer <210> 13 <223> E545K-3 fwd primer <210> 14 <223>E454K-4 fwd primer <210> 15 <223> E545K-5 fwd primer <210> 16 <223>E545K-6 fwd primer <210> 17 <223> Exon 9 Scorpion <210> 18 <213>Exon 9 Scorpion 2 <210> 19 <223> H1047R and H1047L target regions <210>20 <223> H1047R-0 fwd primer <210> 21 <223> H1047R-1 fwd primer <210> 22<223> H1047R-2 fwd primer <210> 23 <223> H1047R-3 fwd primer <210> 24<223> H1047R-4 fwd primer <210> 25 <223> H1047R-5 fwd primer <210> 26<223> H1047R-6 fwd primer <210> 27 <223> H1047L-0 fwd primer <210> 28<223> H1047L-1 fwd primer <210> 29 <223> H1047L-3 fwd primer <210> 30<223> H1047-3 fwd primer <210> 31 <223> H1047L-4 fwd primer <210> 32<223> H1047L-5 fwd primer <210> 33 <223> H1047L-6 fwd primer <210> 34<223> Exon 20 Scorpion <210> 35 <223> Exon 20 Scorpion 2 <210> 36 <223>Control target region <210> 37 <223> Control primer <210> 38 <223>Control Scorpion <210> 39 <223> Control Scorpion 2

REFERENCES

-   1. Samuels Y, Wang Z, Bardelli A, et al. High frequency of mutations    of the PIK3CA gene in human cancers. Science 2004; 304(5670):554.-   2. Higuchi R, Krummel B, Saiki R K. A general method of in vitro    preparation and specific mutagenesis of DNA fragments: study of    protein and DNA interactions. Nucleic Acids Res 1988;    16(15):7351-67.-   3. Wu G, Xing M, Mambo E, et al. Somatic mutation and gain of copy    number of PIK3CA in human breast cancer. Breast Cancer Res 2005;    7(5):R609-16.-   4. Levine D A, Bogomolniy F, Yee C J, et al. Frequent mutation of    the PIK3CA gene in ovarian and breast cancers. Clin Cancer Res 2005;    11(8):2875-8.-   5. Velho S, Oliveira C, Ferreira A, et al. The prevalence of PIK3CA    mutations in gastric and colon cancer. Eur J Cancer 2005;    41(11):1649-54.-   6. Lee J W, Soung Y H, Kim S Y, et al. PIK3CA gene is frequently    mutated in breast carcinomas and hepatocellular carcinomas. Oncogene    2005; 24(8):1477-80.-   7. Bachman K E, Argani P, Samuels Y, et al. The PIK3CA gene is    mutated with high frequency in human breast cancers. Cancer Biol    Ther 2004; 3(8):772-5.-   8. Campbell I G, Russell S E, Choong D Y, et al. Mutation of the    PIK3CA gene in ovarian and breast cancer. Cancer Res 2004;    64(21):7678-81.-   9. Omholt K, Krockel D, Ringborg U, Hansson J. Mutations of PIK3CA    are rare in cutaneous melanoma. Melanoma Res 2006; 16(2):197-200.-   10. Wang Y, Helland A, Holm R, Kristensen G B, Borresen-Dale A L.    PIK3CA mutations in advanced ovarian carcinomas. Hum Mutat 2005;    25(3):322.

1. A polynucleotide comprising at least the final six nucleotides of oneof the following primer sequences, or a sequence complementary thereto:SEQ. ID NOS. 3 to 16, 18, 20 to 33, 35 or 37 to
 39. 2. A polynucleotideaccording to claim 1 wherein the polynucleotide is less than 100nucleotides long, preferably less than 80 nucleotides long, morepreferably less than 60 nucleotides long, more preferably less than 40nucleotides, more preferably less than 30 nucleotides long.
 3. Apolynucleotide according to claim 1 comprising at least 75% of the final8, 10, 12, 14, 16, 17, 18 or 20 nucleotides, or the entirety of one ofthe following primer sequences, or a sequence complementary thereto:SEQ. ID NOS. 3 to 16, 18, 20 to 33, 35 or 37 to
 39. 4. A polynucleotideaccording to claim 1 further comprising a quencher group and afluorophore group.
 5. A polynucleotide according to claim 4 wherein thequencher group and the fluorophore group are separated by a nucleotidetail sequence comprising first and second regions, the nucleotides ofthe first region being complementary to but in reverse order from thenucleotides of the second region, such that hybridisation of the firstregion to the second group results in the quencher group to besufficiently close to the fluorophore group to quench the fluorophoregroup.
 6. A polynucleotide according to claim 5 wherein the tailsequence further comprises a third region having a sequencecomplementary to a region of the PIK3CA gene.
 7. A polynucleotideaccording to claim 6 comprising at least the final six nucleotides ofSEQ. ID NO. 18 and the tail sequence comprises SEQ. ID NO.
 17. 8. Apolynucleotide according to claim 6 comprising at least the final sixnucleotides of SEQ. ID NO. 35 and the tail sequence comprises SEQ. IDNO.
 34. 9. A polynucleotide according to claim 6 comprising at least thefinal six nucleotides of SEQ. ID NO. 39 and the tail sequence comprisesSEQ. ID NO.
 38. 10. A polynucleotide according to claim 4 wherein thequencher group comprises Dabcyl.
 11. A polynucleotide according to claim4 wherein the fluorophore comprises Hex, Fam or Rox.
 12. A kitcomprising at least two of the polynucleotides defined in claim
 1. 13. Akit according to claim 12 comprising a polynucleotide comprising SEQ IDNO. 18 and a polynucleotide comprising any one of SEQ ID NOS. 3 to 16;or a polynucleotide comprising SEQ ID NO. 35 and a polynucleotidecomprising any one of SEQ ID NOS. 20 to 33; or a polynucleotidecomprising SEQ ID NO. 39 and a polynucleotide comprising SEQ ID NO. 37.14. A kit according to claim 12 further comprising nucleotidetriphosphates, a polymerisation enzyme and/or a buffer solution.
 15. Useof a polynucleotide according to claim 1 for detecting a mutation in anucleic acid sample containing at least a fragment of the PIK3CA gene.16. Use according to claim 15 wherein the fragment of the PIK3CA gene inthe nucleic acid sample is at least 10 nucleotides long, preferably 20nucleotides long, more preferably 30 nucleotides long and morepreferably 40 nucleotides long.
 17. A method of detecting the presenceor absence of a mutation in the PIK3CA gene comprising the steps of: a)mixing a nucleic acid sample comprising at least a fragment of thePIK3CA gene with a polynucleotide comprising at least the final sixnucleotides of one of the following primer sequences, or a sequencecomplementary thereto: SEQ ID NOS. 3 to 16 or 20 to 33; and b) detectinghybridisation of the polynucleotide to the nucleic acid sample whereinhybridisation indicates the presence of a mutation.
 18. A methodaccording to claim 17 wherein the polynucleotide comprises one of thefollowing primer sequences: SEQ ID NOS. 3 to 16 or 20 to
 33. 19. Amethod according to claim 17 further comprising the step of, prior tostep a), amplifying the number of copies of the fragment of the PIK3CAgene using thermal cycling nucleic acid amplification, preferably PCR.20. A method according to claim 17, wherein step b) comprises carryingout DNA polymerisation using the polynucleotide as a first primer anddetecting the extension product of polymerisation.
 21. A methodaccording to claim 19 wherein step b) comprises the step of mixing thenucleic acid sample and the polynucleotide with a second primer whichcorresponds to a region of the fragment of the PIK3CA sequencedownstream of the region to which the polynucleotide is complementaryand carrying out PCR on the mixture.
 22. A method according to claim 21wherein the second primer comprises: SEQ. ID NO. 18 and thepolynucleotide comprises at least four or five of the final sixnucleotides of SEQ. ID NOS. 3 to 16; or the second primer comprises SEQ.ID NO. 35 and the polynucleotide comprises at least four or five of thefinal six nucleotides of SEQ. ID NOS. 20 to
 33. 23. A method accordingto claim 20 further comprising the step of carrying out PCR on thesample using control primers and comparing the amplification of thePIK3CA gene with amplification using the polynucleotide and the secondprimer.
 24. A method according to claim 23 wherein the control primerscomprise SEQ ID NOS. 37 and
 39. 25. A method according to claim 17wherein the polynucleotide comprise a quencher group and a fluorophoregroup and wherein step b) comprises exposing the mixture to light of awavelength to which the fluorophore is responsive in the absence of thequencher group and detecting light at the wavelength emitted by thefluorophore group in the absence of the quencher group.